The American College of Cardiology Scientific Session discussed return-to-play considerations and cardiovascular risks for tactical athletes, such as firefighters and military personnel. Key takeaways include the need for individualized approaches in decision-making and risk stratification for athletes with heart conditions. Sessions also delved into the parameters of myocardial work to differentiate between exercise-induced adaptations and cardiomyopathies. Debates were held on the return to play for athletes with conditions like hypertrophic cardiomyopathy and bicuspid aortic valves, emphasizing the importance of shared decision-making and expert referral. Overall, a nuanced approach with consideration of the athlete’s best interests and risk tolerance is crucial in sports cardiology.
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